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Revista Médica Electrónica

On-line version ISSN 1684-1824

Abstract

DIAZ LIMA, Mariela et al. Assessment of validism after surgical treatment in fractures of the femur proximal end. Rev.Med.Electrón. [online]. 2021, vol.43, n.1, pp. 2838-2857.  Epub Feb 28, 2021. ISSN 1684-1824.

Introduction:

hip fracture is one of the most frequent indications of trauma surgery. The choice of the osteosynthesis material is the main objective in the surgical treatment, which can influence the level of validity achieved.

Objective:

to assess the level of validism in patients who underwent surgery with different implants according to the different types of fracture of the proximal end of the femur in the Provincial Surgical Clinical Hospital Comandante Faustino Pérez Hernández of the province of Matanzas.

Materials and methods:

A prospective, longitudinal study was carried out in all patients with hip fracture in the period from January 1st 2016 to December 31st 2017.

Results:

female sex (60%) and the 70-79 age group for both sexes (36%) predominated. The extracapsular fracture prevailed with 74%. The most represented osteosynthesis material was the Gt intramedullary nail, and the simple prosthesis in the intracapsular ones. Surgical time was less than 2 hours and the patients were discharged before the 5th day. 48.2% of patients were evaluated as good according to the level of validism achieved after the applied treatment.

Conclusions:

hip fracture is proper of elder adult people aged more than 65 years. The emergency surgical intervention with an adequate choice of the osteosynthesis method, reduces a serious health problem in the Cuban epidemiological, social and medical context.

Keywords : hip fracture; osteosynthesis material; validism.

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